Evidence map›Paper›PMID 38036542›Full record

ReviewNature reviews. Disease primers2023

IgA nephropathy.

Eleni Stamellou, Claudia Seikrit, Sydney C W Tang, Peter Boor, Vladimir Tesař, Jürgen Floege, Jonathan Barratt, Rafael Kramann

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 178 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
178citing papers in PubMed, 7 pooled it
35.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

178 citing papers in PubMed, 7 syntheses or guidelines pooled it, 177 citations in OpenAlex.

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  16. Incorporating Pathomics Into IgAN Risk Prediction.Kidney international reports · 2026
    Article
  17. Small-Molecule Drugs Approved by the FDA in 2025.Molecules (Basel, Switzerland) · 2026
    Review
  18. Article
  19. Article
  20. Article

118 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 6 countries.

Eleni StamellouDepartment of Nephrology, School of Medicine, University of Ioannina, Ioannina, Greece.
Claudia SeikritDepartment of Nephrology and Clinical Immunology, RWTH Aachen University Hospital, Aachen, Germany.
Sydney C W TangDivision of Nephrology, Department of Medicine, University of Hong Kong, Hong Kong, China.ORCID 0000-0002-6862-1941
Peter BoorDepartment of Nephrology and Clinical Immunology, RWTH Aachen University Hospital, Aachen, Germany.ORCID 0000-0001-9921-4284
Vladimir TesařDepartment of Nephrology, 1st Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic.ORCID 0000-0001-6982-0689
Jürgen FloegeDepartment of Nephrology and Clinical Immunology, RWTH Aachen University Hospital, Aachen, Germany.
Jonathan BarrattDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Rafael KramannDepartment of Nephrology and Clinical Immunology, RWTH Aachen University Hospital, Aachen, Germany. rkramann@gmx.net.ORCID 0000-0003-4048-6351
Universitätsklinikum Aachen · DECharles University · CZErasmus MC · NLUniversity of Hong Kong · HKUniversity of Ioannina · GRUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IgA nephropathy (IgAN), the most prevalent primary glomerulonephritis worldwide, carries a considerable lifetime risk of kidney failure. Clinical manifestations of IgAN vary from asymptomatic with microscopic or intermittent macroscopic haematuria and stable kidney function to rapidly progressive glomerulonephritis. IgAN has been proposed to develop through a 'four-hit' process, commencing with overproduction and increased systemic presence of poorly O-glycosylated galactose-deficient IgA1 (Gd-IgA1), followed by recognition of Gd-IgA1 by antiglycan autoantibodies, aggregation of Gd-IgA1 and formation of polymeric IgA1 immune complexes and, lastly, deposition of these immune complexes in the glomerular mesangium, leading to kidney inflammation and scarring. IgAN can only be diagnosed by kidney biopsy. Extensive, optimized supportive care is the mainstay of therapy for patients with IgAN. For those at high risk of disease progression, the 2021 KDIGO Clinical Practice Guideline suggests considering a 6-month course of systemic corticosteroid therapy; however, the efficacy of systemic steroid treatment is under debate and serious adverse effects are common. Advances in understanding the pathophysiology of IgAN have led to clinical trials of novel targeted therapies with acceptable safety profiles, including SGLT2 inhibitors, endothelin receptor blockers, targeted-release budesonide, B cell proliferation and differentiation inhibitors, as well as blockade of complement components.

Indexed as

Glomerulonephritis, IGAAntigen-Antibody ComplexGalactoseHumansImmunoglobulin AAntigen-Antibody ComplexGalactosegalactosyl-deficient IgA1Immunoglobulin A

Identifiers

PMID38036542
OpenAlexW4389199403

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.